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Diabetes Mellitus is a disease caused by the failure of the pancreas organ in producing the hormone insulin in excess causing increased blood sugar levels and resulting in a lack of insulin. This study discusses the application of the k-means clustering method to determine risk factors for diabetes mellitus. By using the clustering method, data will be grouped into several clusters or groups which in this study compare by applying several data mining tools such as RapidMiner, SPSS, WEKA, and Python. From the results of the comparison carried out resulted in 5 calculations, namely the manual calculation of cluster 1 with a ratio value of 73% being the first priority, calculations using RapidMiner resulting in cluster 3 with a ratio value of 58% being the first priority, calculations using SPSS cluster 2 with a ratio value of 34% being the first priority, and calculations using Python produce cluster 1 with a ratio value of 55% being the first priority.

Bangunan yang berada di daerah rawan gempa dengan tanah lunak cenderung memiliki tingkat kerentanan yang lebih tinggi. Dalam merancang struktur bangunan bertingkat, beban gempa menjadi salah satu parameter utama yang sangat berpengaruh. Kekuatan sebuah bangunan ditentukan oleh elemen-elemen struktur yang menopangnya dan kolom merupakan elemen struktur yang memiliki peran penting dalam konstruksi. Jika kolom mengalami kegagalan, bangunan yang ditopangnya berpotensi runtuh. Oleh karena itu, rendahnya ketahanan konstruksi di wilayah ini tetap menjadi permasalahan yang sedang diteliti saat ini. Tujuan penelitian ini untuk mengetahui seberapa jauh pengaruh variasi dimensi kolom terhadap struktur bangunan terhadap gempa, sehingga diperoleh ukuran dimensi kolom yang paling optimal. Pada penelitian ini, objek yang digunakan adalah bangunan 8 lantai yang terdiri dari lantai 1-3 merupakan kantor dan lantai 4-8 merupakan hunian. Pada perencanaan ulang bangunan ini berpedoman pada persyaratan beton struktural (SNI 2847:2019), perencanaan ketahanan gempa (SNI 1726:2019), dan beban minimum untuk perancangan bangunan gedung dan struktur lain (SNI 1727:2020), dengan pemodelan menggunakan software ETABS V.22. Redesain bangunan ini untuk mengetahui ukuran dimensi kolom yang paling optimal. Hasil penelitian perubahan dimensi kolom terhadap kekuatan struktur bangunan yakni dengan memperbesar dimensi kolom, kapasitas penampang bertambah yang dapat meningkatkan ketahanan kolom terhadap beban gempa. Selain itu, dimensi yang lebih besar juga membantu mengurangi tegangan aksial pada kolom, sehingga menurunkan risiko kegagalan akibat tegangan berlebih atau kelelahan material. Semakin besar dimensi kolom yang digunakan maka semakin kecil nilai simpangan yang dihasilkan. Artinya dengan dimensi kolom yang lebih kecil memiliki resiko yang lebih tinggi, sebab nilai simpangan lebih dekat dengan batas yang diijinkan. Akan tetapi hasil analisis menunjukkan bahwa dimensi kolom dengan berbagai variasi masih aman dari pengaruh delta izin.

This study aims to analyze cryptocurrency investments and the risks faced by beginner investors who own digital assets such as Bitcoin, Solana, XRP, and other coins that have been increasing in value over the past few years, especially among the general public and retail investors. Not only retail investors, but governments also now hold digital assets, as has already happened. However, the unstable price and lack of global legal oversight make investing in cryptocurrency highly risky, especially for those with less knowledge and experience. The methods used in this study include literature review, descriptive analysis of historical price data for cryptocurrency, case studies, and interviews with several beginner investors. The findings show that cryptocurrency can generate large profits in a short time, but the risk of losing capital is also very high. Therefore, having a good understanding of blockchain technology, risk management, and investment psychology before starting to invest is important. This study is hoped to serve as a reference for beginner investors when considering decisions to invest in cryptocurrency.

A crane is a mechanical device used to move loads from one location to another, with gantry cranes being one of the most commonly used types in the industrial sector, particularly at container terminals. While offering numerous benefits, the use of gantry cranes also presents several risks, such as potential structural failure of the crane, falling loads due to damage to hooks or ropes, and collisions with other objects. Additionally, lifting loads beyond the crane’s capacity can lead to equipment damage and even fatal accidents caused by electric shocks or adverse weather conditions like strong winds and rain. This study aims to identify and minimize workplace accident risks by applying the SWIFT (Structured What-If Technique) method. This method identifies hazards through the "what if" approach and evaluates risks using the Risk Rating Number (RRN), which measures the severity and likelihood of potential hazards. The results of this study show that ARTG and STS gantry cranes have 25% of hazards in the priority one category, while RTG has 20% of hazards in the same priority. From these findings, it can be concluded that risk mitigation should be focused on the ARTG and STS types, which show higher risk proportions. The recommendations from this study are to enhance safety procedures, provide continuous training for operators, and conduct regular crane maintenance to reduce the potential for accidents. By implementing these mitigation measures, it is hoped that workplace safety will be maintained and the risk of workplace accidents at the Semarang Container Terminal can be minimized.

Stroke adalah penyebab kematian nomor dua dan penyebab kecacatan di seluruh dunia. Salah satu cara yang dapat digunakan untuk mencegah stroke pada penderita hipertensi adalah dengan menemukan dan mengendalikan faktor risiko yang dapat dimodifikasi. Tujuan penelitian ini adalah untuk mengidentifikasi gambaran faktor risiko dan tingkat risiko stroke berdasarkan stroke risk score card pada penderita hipertensi di klinik romana tanjung anom tahun 2024. Penelitian ini menggunakan rancangan bersifat deskriptif . Metode pendekatan yang digunakan adalah cross sectional. Teknik pengambilan  sampel yang digunakan accidental sampling dengan jumlah responden penderita hipertensi sebanyak 98 orang. Instrument yang digunakan dalam penelitian ini adalah Stroke Risk Score Card. Hasil penelitian lebih dari setengah penderita hipertensi memiliki tingkat risiko stroke rendah 57 orang (58,2%). Faktor risiko stroke yang dimiliki penderita hipertensi berurutan dari faktor risiko terbanyak yaitu tekanan darah tinggi 66 orang (67,3%), pemalas / tidak pernah olahraga 56 orang (57,1%), hiperkolestrolemia 30 orang (30,6%), Overweight 30 orang (30,6%), atrial fibrilasi tidak teratur 11 orang (11,2%), perokok 9 orang (9,2%), riwayat diabetes mellitus 6 orang (6,1%), dan riwayat stroke dalam keluarga 5 orang (5,1%). Sebagian besar penderita hipertensi memiliki risiko rendah terkena stroke. Pencegahan primer merupakan upaya penting untuk mencegah stroke, sehingga dianjurkan untuk dilakukan secara rutin.

his study aims to explore the implementation of Internet of Things (IoT) technologies within the e-commerce supply chain using a systematic and comprehensive Systematic Literature Review (SLR) approach. By critically analysing a broad range of recent studies, it systematically identifies implementation patterns, integration barriers, and strategic opportunities that support efficiency and adaptability in digital supply chains. Findings reveal that IoT plays a pivotal role in enhancing logistics operations, inventory management accuracy, and responsiveness to dynamic market demands through real-time data monitoring. Key challenges include data security vulnerabilities, high initial investment costs, and the complexity of system interoperability. Nevertheless, the long-term benefits underscore the strategic potential of IoT as a transformative component in sustainable e-commerce supply chain development. This review contributes both theoretically and practically to policy development, technological investment strategies, and the design of adaptive IoT-based supply chain models.

Mortalitas dan morbiditas pada wanita merupakan masalah yang perlu mendapatkan perhatian yang cukup serius, terutama di negara berkembang dan memiliki iklim tropis layaknya Negara Indonesia. Personal hygiene dan sanitasi berada pada nomor 3 dan kesehatan reproduksi berada pada nomor 8 dalam 10 faktor resiko utama penyebab kesakitan kematian pada usia remaja. Remaja pada masa pubertas mengalami perubahan fisik yang ditandai dengan terjadinya menstruasi. Saat menstruasi jika personal hygiene buruk bisa mengakibatkan infeksi saluran reproduksi (ISR), infeksi saluran kemih (ISK), penyakit radang panggul (PRP), dan kemungkinan terburuknya bisa menyebabkan kanker serviks. Salah satu cara untuk menghindari masalah tersebut yaitu dengan melakukan praktik perilaku personal hygiene saat menstruasi. Penelitian ini bertujuan untuk mengetahui gambaran perilaku personal hygiene pada remaja putri di SMP Negeri 4 Surakarta. Jenis penelitian ini adalah deskriptif kuantitatif dengan menggunakan metode pengambilan sampel secara non propability sampling dengan pengambilan sampel menggunakan teknik purposive sampling. Hasil penelitian menunjukkan bahwa sebanyak 48 responden (63,3%) berperilaku baik, sedangkan responden yang berperilaku buruk berjumlah 28 responden (36,8). Temuan ini menunjukkan gambaran perilaku yang baik.

Occupational Health and Safety (OHS) is a systematic effort aimed at protecting workers from the risks of accidents and work-related diseases. The implementation of OHS integrated with risk management helps identify, evaluate, and control potential hazards effectively in the workplace. This study was conducted at PT. Sarana Sampit Mentaya Utama, Balikpapan Branch, a company engaged in asphalt production. The main objectives of this research were to identify potential hazards, determine appropriate control measures, and evaluate the role of the Job Safety Analysis (JSA) method in supporting OHS. The research method used is JSA, which involves identifying each work step, determining the likelihood and severity of risks, and calculating the risk rating to assess the level of risk. The results showed that there are three potential hazards with a medium-risk category, namely in the activities of raw material mixing, quality control, and asphalt distribution. Additionally, three potential hazards with a low-risk category were found in the processes of raw material weighing, raw material transfer, and pump line valve opening. Recommended control measures to reduce risks include the use of appropriate personal protective equipment (PPE) for each task, improving work facilities and infrastructure, and implementing proper load lifting procedures. The application of JSA has proven effective in raising the company's awareness of potential risks in the workplace. This has led to the implementation of better preventive measures, ultimately contributing to the creation of a safer, healthier, and more productive work environment. Therefore, the integration of OHS with risk management at PT. Sarana Sampit Mentaya Utama plays a significant role in safeguarding the safety and well-being of workers.

WHO (2020) found that in various hospitals around the world the incidence of patient falls per year ranged from 3.2 - 16.6% or 700,000 -1,000,000 in the United States, England, Denmark and Australia. Data in Indonesia recorded 34 cases of patient falls or equivalent to 14% of fall incidents in hospitals in Indonesia, data from Bhayangkara Hospital has a high prevalence of fall risk, reaching 10.07% or around 1,975 people, especially in the hemodialysis room. One of the unexpected events is the incident of a patient falling, caused by various things, this is also related to the knowledge of nurses in preventing the risk of falls in patients. Objective: To find out efforts to improve nurses' knowledge in preventing the risk of falls in the HD room at Bhayangkara Hospital, Lampung Province.The data collection method carried out on August 20, 2024 was through interviews, documentation studies, and observations. From the pre-survey data, it was found that nurses' knowledge was lacking because there were still incidents of patients falling in the hemodialysis room. The results of the Nursing Management problems found were that the prevention of the risk of falling in patients in the HD room of the Bhayangkara Lampung Hospital was not optimal, the number of nurses in the HD room itself was 19 nurses, 11 of whom had undergone training. The activity plan carried out was education about the importance of nurses' knowledge in optimally preventing the risk of falling in patients. The implementation of the activity was carried out on December 14, 2024 by means of education on the prevention of the risk of falling in patients with a Morse fall scale assessment. After education was carried out on the risk of falling in patients in the HD room of the Bhayangkara Lampung Hospital, the results showed an increase in nurses' knowledge about the risk of falling, as evidenced by the pre-test results of 50-70% and the post-test results of 70-90. It is hoped that with the increase in nurses' knowledge, they can optimize the prevention of the risk of falling in the HD room. So that it can make the quality of nurse services to patients more optimal.  

Hypertension is a chronic disease characterized by persistently elevated blood pressure. This condition occurs when the arteries narrow, obstructing blood flow and increasing pressure on the vessel walls. As a result, the heart is forced to work harder to pump blood throughout the body. If this condition is not properly controlled, it can lead to serious complications such as damage to the blood vessels, heart, kidneys, and even the brain. Therefore, effective management of hypertension is crucial, not only with pharmacological treatment but also through non-pharmacological interventions such as regular exercise. One recommended form of light exercise is brisk walking, which involves brisk walking at moderate intensity. This exercise is known to reduce peripheral resistance when the body's muscles contract, which in turn helps control blood pressure and increase cardiac output. This case study aims to determine the effectiveness of brisk walking therapy on the risk of decreased cardiac output in hypertensive patients. The intervention was carried out on hypertensive patients through home visits three days a week, with one meeting each morning. Patients were given brisk walking therapy with a specific duration and intensity according to their condition. Evaluation was carried out by measuring blood pressure before and after the intervention using a standard observation sheet. After three interventions, there was a significant decrease in blood pressure in patients. This indicates a positive effect of brisk walking on the cardiovascular system of hypertensive patients. Brisk walking is an effective and easy-to-do non-pharmacological therapy to help lower blood pressure and reduce the risk of decreased cardiac output in hypertensive patients. It is hoped that this therapy can become part of a self-help intervention carried out continuously in the patient's home environment.

The implementation of Supply Chain Management (SCM) makes many businesses manage information, goods, services and money as good as possible so they can provide fast and high-quality services to customers. Therefore, this study aims to implement SCM in Kopi Bintang Salatiga SMEs to decrease production costs, increase revenue, improve operational efficiency and establish good relationships with customers. This study discusses the SCM process and the added value in Kopi Bintang Salatiga SMEs so in the future Kopi Bintang Salatiga SMEs can have good risk management and increase added value. The data was collected through literature study and interviewing the owner of Kopi Bintang Salatiga SMEs. This study found that weather, natural disasters, fires and coffee pests are the factors with the highest risk in the SCM process of Kopi Bintang Salatiga SMEs. The added value of farmers & post-harvest coffee processors of Kopi Bintang Salatiga Kopi Bintang Salatiga SMEs is already quite high at 99%, while at grade I coffee sales is 71% and grade II is 47% it appears that coffee with grade II has lower added value, so it is needing accuracy of coffee processing at farmers & post-harvest coffee processors so the grade I coffee product is increased.

Pengelolaan rantai pasok dengan menggunakan metode E-SCM untuk mengoptimalkan persediaan Toko Nadira dapat meningkatkan persediaan yang efisien. Permasalahan yang terjadi pada Toko Nadira adalah proses pencatatan barang, pengelolaan persediaan dan pemesanan ke Supplier masih manual dengan menggunakan buku catatan. Dengan adanya teknologi, Toko Nadira dapat memanfaatkannya dengan baik dengan menggunakan website, website ini mampu mempermudah proses pencatatan barang, monitoring persediaan, dan meningkatkan keakuratan dalam proses pemesanan barang ke Supplier serta update stok secara real-time, Metode penelitian yang digunakan meliputi analisis kebutuhan, perancangan sistem, implementasi, dan pengujian aplikasi. Hasil penelitian menunjukkan bahwa website E-SCM yang dikembangkan telah berhasil meningkatkan efisiensi operasional Toko Nadira, mengurangi resiko kehabisan stok, dan mempercepat proses restocking. Selain itu, sistem ini juga dapat diintegrasikan dengan laporan penjualan dan pembelian, yang memungkinkan pemilik Nadira Store untuk melakukan analisis data yang lebih mendalam.

This study aims to explore gross motor developmental delays in 6-year-old children as an early indication of possible Tourette syndrome. Tourette syndrome is a neuropsychiatric disorder characterized by the emergence of spontaneous movements and sounds (tics) that are not realized and can interfere with the child's daily activities. In this study, a qualitative approach was used with a case study method on a boy in Malang City who showed symptoms of motor and vocal tics. Data collection was carried out through observation, in-depth interviews with teachers and parents, and documentation of the child's activities in the home and school environment. The results of the observation showed that the child had difficulty maintaining balance and showed spontaneous movements such as shaking his head, blinking, and clearing his throat repeatedly. These symptoms do not always appear consistently and occur more often when the child is tired or mildly stressed. Data analysis showed that motor delays were not caused by muscle disorders, but by an imbalance in neurological regulation that affects movement coordination. The main risk factors come from daily habits such as excessive use of gadgets, lack of rest time, and unstable emotional responses. The treatment carried out involves a combination of medication from a neurologist and environmental support such as reducing stress triggers, regulating playtime, and an inclusive educational approach. This study emphasizes the importance of early detection, holistic intervention, and ongoing support from families and educators in dealing with children with Tourette syndrome symptoms so that motor delays do not develop into more serious disorders.

Perilaku Hidup Bersih dan Sehat (PHBS) adalah serangkaian tindakan yang diambil untuk menjaga dan meningkatkan kesehatan individu dan masyarakat. Di kalangan remaja, perilaku ini menjadi sangat penting mengingat masa remaja merupakan periode transisi di mana kebiasaan hidup sehat dapat terbentuk dan akan berpengaruh terhadapi kesehatan mereka di masa depan. Sekolah Menengah Atas (SMA) atau Madrasah Aliyah (MA) merupakan salah satu tempat yang sangat strategis untuk memberikan edukasi dan sosialisasi tentang perilaku hidup bersih dan sehat (PHBS) di sekolah.  Lingkungan sosial yang terdiri dari remaja dengan berbagai kebiasaan, pengaruh teman sebaya, dan keterbatasan pengetahuan tentang pentingnya kesehatan memerlukan adanya perhatian khusus agar terhindar dari berbagai masalah khususnya masalah kesehatan. .Metode yang digunakan adalah pengabdian masyarakat dengan tahapan sosialisasi dan  edukasi terkait pentingnya perilaku hidup bersih dan sehat. Hasil pengabdian ini menunjukkan peningkatan signifikan dalam pengetahuan dan sikap siswa terhadap pentingnya perilaku hidup bersih dan sehat. Program ini diharapkan dapat menjadi model pengabdian masyarakat yang berkelanjutan untuk menjaga kesehatan siswa melalui pentingnya penerapan perilaku hidup bersih dan sehat di sekolah. Siswa diharapkan bisa konsisten dalam menerapkan perilaku hidup bersih dan sehat untuk mendukung terwujudnya derajat kesehatan masyarakat yang optimal serta  terhidar dari resiko masalah kesehatan.

This research aims to analyze the effectiveness of container lashing techniques in reducing the risk of cargo damage on MV. Tanto Bersinar. Lashing is a method of securing containers using equipment such as twist locks, lashing bars, and turnbuckle s to ensure cargo stability and safety during sea transport. The research employs a descriptive qualitative method with a case study approach through direct observation, interviews with crew members, and documentation. The findings indicate that the lashing technique on board has not been fully effective due to several factors, including insufficient quantity and poor condition of lashing equipment, limited crew understanding of proper procedures, and lack of regular training and supervision. The ineffectiveness of the lashing process leads to safety risks, operational delays, financial losses, and reputational damage to the company. This study recommends providing adequate and well-maintained lashing equipment, conducting routine crew training, ensuring compliance with standard operating procedures, and improving oversight to meet maritime safety standards. Proper implementation of lashing techniques is essential to minimize cargo damage and enhance the overall safety of maritime operations.

Keamanan makanan jajanan dewasa ini memiliki peran yang sangat penting dalam menunjang aktivitas dan meningkatkan mutu gizi para murid disekolah. Kebersihan dan jenis makanan jajanan yang dijual oleh para pedagang harus memperhatikan kualitas agar tidak berdampak negatif bagi kesehatan kususnya terkait maslah pencernaan.Selain dari sisi pedagang, edukasi kepada siwa terkait makanan jajanan yang sehat dan aman perlu dilakukan , salah satunya pada siswa di MA Nurul Ummah Yogyakarta. Lingkungan sekolah yang berada di pinggir jalan dan dikelilingi pemukiman penduduk dan sangat ramai dengan pedagang kaki lima yang berjualan mengharuskan para siswa memiliki pengetahuan tentang jajanan sehat. Pengabdian masyarakat  ini bertujuan untuk meningkatkan pengetahuan dan kesadaran siswa Madrasah Aliyah (MA) Nurul Ummah Yogyakarta tentang higiene dan sanitasi makanan jajanan di lingkungan sekolah, guna mengurangi risiko kesehatan akibat konsumsi jajanan yang tidak higienis. Metode yang digunakan adalah pengabdian masyarakat dengan tahapan sosialisasi, edukasi dan pelatihan dalam pemilihan jajanan sehat. Hasil penelitian menunjukkan peningkatan signifikan dalam pengetahuan dan sikap siswa terhadap pentingnya higiene sanitasi makanan, serta perubahan perilaku dalam memilih makanan jajanan yang lebih sehat. Program ini diharapkan dapat menjadi model pengabdian masyarakat yang berkelanjutan untuk menjaga kesehatan siswa melalui konsumsi makanan jajanan yang aman. Siswa diharapkan bisa selektif dalam memilih jajanan yang mereka konsumsi agar tidak terkena resiko masalah kesehatan.

Tuberculosis (TB) is currently a public health problem in the world, especially in Indonesia. Pulmonary TB is ranked 2nd as the main cause of death from infectious diseases after Human Immuno deficiency Virus (HIV). Pulmonary Tuberculosis is easily spread through the air when people who are sick with Pulmonary Tuberculosis release bacteria through the coughing mechanism. The spread of these bacteria is through sputum splashes or droplet nuclei released by TB sufferers through coughing, sneezing or talking face to face. The increase in TB cases is related to the degree of health in the community. The biggest factors that affect the degree of health are environmental factors and community behavior itself which can be detrimental to health. Risk factors for Tuberculosis transmission are environmental factors and behavioral factors, environmental factors include ventilation, housing density, temperature, lighting and humidity. While behavioral factors include smoking habits, spitting or throwing phlegm anywhere, coughing or sneezing without covering the mouth and the habit of not opening windows and not implementing clean and healthy living behavior (PHBS). This research method is a quantitative study with statistical tests with a cross-sectional design. This study was conducted at SMP 4 Ulee Rubek, North Aceh in November 2024. The research sample consisted of 15 children, Data collection techniques using questionnaires. Data analysis used descriptive statistical tests to test adolescents' knowledge about how to prevent TB. In addition to effective coughing, there are several ways to control pulmonary tuberculosis, namely by cultivating a clean and healthy life and cultivating ethical coughing behavior.

Anemia is a common health problem among adolescent girls, which can affect their growth and development. Thi study aims to identify factors that influence the occurrence of anemia in adolescent girls. Both biological and environmental factors contribute to anemia. The method used was a comprehensive literature review, by collecting data from various relevant sources including journals and research reports. The result emphasized the importance of knowledge about adolescent girls health, as well as lack of iron consumtion, irregular sleep patterns and long-duration or irregular menstruation, so there is a need for education n each village to reduce the risk of anemia in adolescent girls. The conclusion of this study shows that the impact of anemia  affects physical health, quality of life, productivity and social well-being. Addressing anemia should be a priority in public health policy.

Stunting is a chronic nutrition problem that affects the growth and development of children. This study aims to analyze the relationship between exclusive breastfeeding and the incidence of stunting in children aged 2-24 months in Matang Maneh Village. The research used a quantitative approach with a survey method. Data were collected through structured questionnaires, and the relationship was analyzed using the chi-square test. The results showed a Pearson Chi-Square value of 5.185 with a significance level of 0.023 (p < 0.05). This indicates a significant relationship between exclusive breastfeeding and stunting. Children who did not receive exclusive breastfeeding had a higher risk of stunting compared to those who did. This study highlights the importance of exclusive breastfeeding in preventing stunting. These findings can serve as a basis for creating intervention programs  to  increase  exclusive  breastfeeding coverage  and reduce stunting prevalence, especially in Matang Maneh Village.

Diabetes mellitus is a chronic disease that requires proper management, including the use of conventional and alternative medicines such as herbal medicines. Patient knowledge about the benefits, risks, and potential interactions of herbal medicines with conventional medicines is very important to prevent complications. Objective This study aims to describe the level of knowledge of diabetes patients about the use of herbal medicines, including the benefits, risks, and interactions with conventional medicines at the Kebondalem Health Center, Pemalang Regency. This study uses descriptive observational analytic Data were collected through questionnaires distributed to diabetes patients who were treated at the Kebondalem Health Center. Data analysis was carried out quantitatively with percentages to measure the level of patient knowledge.